Regent Park Early Childhood Development Center

Pre-registration Application

We welcome you to complete and submit the pre-registration application below. Then call us, 252-2424, or contact us by email at info@rpbaby.com to schedule a tour.

Or click here for a printable application which you can mail (requires Acrobat Reader).

Name(s) of parent(s):

Mailing address: City: State: ZIP Code:

E-mail address:

Telephone number(s):

Name(s) of child(ren):

Birthdate or anticipated birthdate:

Are you interested in
Full time care
Part time care
Morning Only Program

Please take a moment to describe your primary concerns/priorities as you explore childcare options.

When do you anticipate needing care to begin? What schedule will you need?